Individual
DR. MADHU MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2777 SUMMER ST, STE 604, STAMFORD, CT 06905-4318
(203) 614-8517
(203) 614-8518
Mailing address
108 GLENVILLE RD, GREENWICH, CT 06831-4434
(203) 550-6085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
039624
CT
208000000X
Pediatrics Physician
Primary
221166
NY
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
039624
CT
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
221166
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010039624CT01
ANTHEM BC/BS
CT
01
—
2079769
FIRST HEALTH / CCN
CT
01
—
2215002
UNITED HEALTHCARE
CT
01
—
2V4390
HEALTH NET
CT
01
—
507X21
EMPIRE BC/BS
CT
01
—
5129667
CIGNA
CT
01
—
7916409
AETNA
CT
01
—
797586
CONNECTICARE
CT
01
—
P2645508
OXFORD HEALTH PLAN
CT
01
—
TIN
FOCUS
—
Enumeration date
08/14/2006
Last updated
04/21/2023
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